ArticleThe journal of headache and pain2020
Rapid referral for headache management from emergency department to headache centre: four years data.
Article in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Current psychological intervention alternatives for the treatment of paediatric headaches: a narrative review.Journal of oral & facial pain and headache · 2025Review
- Rethinking headache as a global public health case model for reaching the SDG 3 HEALTH by 2030.The journal of headache and pain · 2023Review
- Acute Pain and Development of Opioid Use Disorder: Patient Risk Factors.Current pain and headache reports · 2023Review
- Role of Peripheral Inflammatory Markers in Patients with Acute Headache Attack to Differentiate between Migraine and Non-Migraine Headache.Journal of clinical medicine · 2022Article
- Novel Migraine Therapies May Reduce Public and Personal Disadvantages for People with Migraine.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022Article
- Prevalence and Risk Factors Associated with Tumors and Other Structural Anomalies in Brain MRI Performed to Rule out Secondary Headache: A Multicenter Observational Study.International journal of environmental research and public health · 2022Observational
- Utilization of a neurology specialty service by primary care providers for headache management at a tertiary care hospital.Journal of central nervous system disease · 2022Article
- Cluster Headache is Still Lurking in the Shadows.Pain and therapy · 2021Article
- Need of guidance in disabling and chronic migraine identification in the primary care setting, results from the european MyLife anamnesis survey.BMC family practice · 2021Article
- Headache Characteristics in the Neurological Emergency Department: A Retrospective Study.Frontiers in neurology · 2021Article
- The Value of Cranial CT Imaging in Patients With Headache at the Emergency Department.Frontiers in neurology · 2021Article
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Authors and funding
4 authors.
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Abstract
backgroundHeadache is one of the most common reason for medical consultation to emergency department (ED). The inappropriate use of ED for non-emergency conditions is a problem in terms of overcrowding of emergency facilities, unnecessary testing and treatment, increased medical costs, burden on medical service providers and weaker relationships between patient and primary care provider. The aim of this study was to analyze the different stages of ED management of headache to identify those deficiencies that can be overcome by a fast referral to a headache clinic.
methodsThe study is a retrospective analysis of the electronic medical records of patients discharged from an academic ED between January 1, 2015 and December 31, 2018 and referred to the tertiary level headache centre of the same hospital. We analyzed all aspects related to the permanence in ED and also assessed whether there was a match between the diagnosis made in ED and ours.
resultsAmong our sample of 244 patients, 76.2% were admitted as "green tag", 75% underwent a head computed tomography, 19.3% received a neurological consultation, 43% did not receive any pharmacological treatment and 62.7% still had headache at discharge. The length of stay in ED was associated with reporting the first aura ever (p = 0.014) and whether patients received consultations (p < 0.001). The concordance analysis shown a significant moderate agreement only for the diagnosis of migraine and only between triage and headache centre.
conclusionsMost patients who went to ED complaining of headache received the same treatment regardless of their diagnosis and in many cases the headache had not yet resolved at the time of discharge. Given the many shortcomings in headache management in ED, rapid referral to the headache centre is of paramount importance to help the patient achieve a definiteve diagnosis and appropriate treatment.
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